Organization Active NPI

Dentist in Bryan PLLC

Doing business as Bryan Dental

  • General Practice Dentistry
  • Bryan, TX
National Provider Identifier
1396593133
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTIST IN BRYAN PLLC
Doing business as
Bryan Dental
Practice address
3203 Freedom Blvd Ste 400
Bryan, TX 77802-5018
Phone
(979) 985-5505
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Harpreet K Sidhu, DDSNPI 1306287446
Title
Owner
Phone
(509) 499-2322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3203 Freedom Blvd Ste 400
Bryan, TX 77802-5018

Mailing address

3203 Freedom Blvd Ste 400
Bryan, TX 77802-5018

Other names 2

  • Bryan Dental Doing business as
  • Dentist in Bryan PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3203 Freedom Blvd
Ste 400
Bryan, TX 77802
Phone (979) 985-5505

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1396593133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 FREEDOM BLVD STE 400",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 FREEDOM BLVD STE 400",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025018",
            "telephone_number": "979-985-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST IN BRYAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "HARPREET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-499-2322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryan Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentist in Bryan PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.